BSN HESI 315 Pharmacology Practice Exam (Latest
2026/ 2027 Update) Questions and Verified Answers |
100% Correct | Graded + - Nightingale
A client with a history of chronic obstructive pulmonary disease (COPD)
receives a new prescription for an ipratropium inhaler. Which action
indicates to the nurse that additional teaching is needed?
a. Primes the inhaler with 7 pumps.
b. Attaches spacer device to the inhaler.
c. Rinses the after each use.
d. Stores the medication at room temperature.
Primes the inhaler with 7 pumps.
A client with heart failure (HF) develops hyperaldosteronism and spironolactone
is prescribed. Which instruction should the nurse include in this client's plan of
care?
Cover your skin before going outside.
Limit intake of high-potassium foods.
Replace salt with a salt substitute.
Monitor skin for excessive bruising.
,Limit intake of high-potassium foods.
A client with chemotherapy induced nausea receives a prescription for
metoclopramide. Which adverse effect is most important for the nurse to report?
a. Diarrhea.
b. Involuntary movements.
c. Unusual irritability.
d. Nausea.
Involuntary movements.
The nurse admits a client with a diagnosis of stage 4 cancer. The client has a
prescription to wear a subcutaneous morphine sulfate patch for pain. The client is
short of breath and difficult to arouse. While performing a head to toe assessment.
the nurse discovers four patches on the client's body. Which action should the nurse
take first?
a. Monitor blood pressure.
b. Administer a narcotic reversal drug.
c. Remove the morphine patches.
d. Apply oxygen face mask.
Remove the morphine patches.
,The nurse is providing instructions about a client's new medications. How should
the nurse explain the purpose of probenecid, a uricosuric drug?
a. Decreases pain and burning during urination.
b. Prevents the formation of kidney stones.
c. Increases the strength of the urine stream.
d. Promotes excretion of uric acid in the urine.
Promotes excretion of uric acid in the urine.
A client taking atorvastatin develops an increased serum creatine phosphokinase
(CK) level. The nurse should assess the client for the onset of which problem?
a. Excessive bruising.
b. Muscle tenderness.
c. Peripheral edema.
d. Nausea and vomiting.
Muscle tenderness.
A client receives a new prescription for levothyroxine. Which statement made by
client indicates to the nurse the education was effective?
a. Take medication on an empty stomach.
, b. Avoid the use of iron supplements
c. Administer levothyroxine at bedtime
Consume foods that are high in iodine.
Take medication on an empty stomach.
A client with peptic ulcer disease receives a new prescription for cimetidine. Which
statement provided by the client requires additional instruction by the nurse?
a. Notify the healthcare provider of lethargy.
b. Monitor for any signs of sexual dysfunction.
c. Decrease cigarette use to a pack per day.
d. Take the medication an hour after antacids
Decrease cigarette use to a pack per day
A client with Parkinson's disease who is taking carbidopa/levodopa reports the
urine appears to be darker in color. Which action should the nurse take?
a. Explain the color change is normal.
b. Measure the client's urinary output.
c. Obtain a specimen for a urine culture.
d. Encourage an increase in oral intake.
2026/ 2027 Update) Questions and Verified Answers |
100% Correct | Graded + - Nightingale
A client with a history of chronic obstructive pulmonary disease (COPD)
receives a new prescription for an ipratropium inhaler. Which action
indicates to the nurse that additional teaching is needed?
a. Primes the inhaler with 7 pumps.
b. Attaches spacer device to the inhaler.
c. Rinses the after each use.
d. Stores the medication at room temperature.
Primes the inhaler with 7 pumps.
A client with heart failure (HF) develops hyperaldosteronism and spironolactone
is prescribed. Which instruction should the nurse include in this client's plan of
care?
Cover your skin before going outside.
Limit intake of high-potassium foods.
Replace salt with a salt substitute.
Monitor skin for excessive bruising.
,Limit intake of high-potassium foods.
A client with chemotherapy induced nausea receives a prescription for
metoclopramide. Which adverse effect is most important for the nurse to report?
a. Diarrhea.
b. Involuntary movements.
c. Unusual irritability.
d. Nausea.
Involuntary movements.
The nurse admits a client with a diagnosis of stage 4 cancer. The client has a
prescription to wear a subcutaneous morphine sulfate patch for pain. The client is
short of breath and difficult to arouse. While performing a head to toe assessment.
the nurse discovers four patches on the client's body. Which action should the nurse
take first?
a. Monitor blood pressure.
b. Administer a narcotic reversal drug.
c. Remove the morphine patches.
d. Apply oxygen face mask.
Remove the morphine patches.
,The nurse is providing instructions about a client's new medications. How should
the nurse explain the purpose of probenecid, a uricosuric drug?
a. Decreases pain and burning during urination.
b. Prevents the formation of kidney stones.
c. Increases the strength of the urine stream.
d. Promotes excretion of uric acid in the urine.
Promotes excretion of uric acid in the urine.
A client taking atorvastatin develops an increased serum creatine phosphokinase
(CK) level. The nurse should assess the client for the onset of which problem?
a. Excessive bruising.
b. Muscle tenderness.
c. Peripheral edema.
d. Nausea and vomiting.
Muscle tenderness.
A client receives a new prescription for levothyroxine. Which statement made by
client indicates to the nurse the education was effective?
a. Take medication on an empty stomach.
, b. Avoid the use of iron supplements
c. Administer levothyroxine at bedtime
Consume foods that are high in iodine.
Take medication on an empty stomach.
A client with peptic ulcer disease receives a new prescription for cimetidine. Which
statement provided by the client requires additional instruction by the nurse?
a. Notify the healthcare provider of lethargy.
b. Monitor for any signs of sexual dysfunction.
c. Decrease cigarette use to a pack per day.
d. Take the medication an hour after antacids
Decrease cigarette use to a pack per day
A client with Parkinson's disease who is taking carbidopa/levodopa reports the
urine appears to be darker in color. Which action should the nurse take?
a. Explain the color change is normal.
b. Measure the client's urinary output.
c. Obtain a specimen for a urine culture.
d. Encourage an increase in oral intake.
